| NPI | 1619348752 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9191132) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9191132) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405198) | |
| 363L00000X Nurse Practitioner (Licence: NY 405198) | |
| Enumeration Date | 2015-10-15 |
| Last Update Date | 2026-05-01 |